CANCER SCREENING: A PRACTICAL GUIDE FOR PHYSICIANS

Article

Despite major advances in the treatment of cancer, prevention remains the bestmethod of control. Here, an international panel of experts describe screening techniquesand provide concise summaries of current guidelines. In addition, theydiscuss the epidemiology and biology of various cancers, including breast, cervical,ovarian, endometrial, colorectal, hepatocellular, oropharyngeal, esophageal, gastric,prostate, testicular, skin, and lung; sensitivity and specificity of the screeningmethods; cost-effectiveness; and indications for referral. One section is devoted tofuture prospects in cancer screening, such as the application of molecular geneticsand new radiologic techniques. Another section addresses medicolegal issues.Also included are screening techniques used in countries with a high incidence ofcertain types of cancer (eg, stomach cancer in Japan, esophageal cancer in China).Numerous algorithms provide step-by-step overviews of screening, evaluation, andsurveillance.

Despite major advances in the treatment of cancer, prevention remains the bestmethod of control. Here, an international panel of experts describe screening techniquesand provide concise summaries of current guidelines. In addition, theydiscuss the epidemiology and biology of various cancers, including breast, cervical,ovarian, endometrial, colorectal, hepatocellular, oropharyngeal, esophageal, gastric,prostate, testicular, skin, and lung; sensitivity and specificity of the screeningmethods; cost-effectiveness; and indications for referral. One section is devoted tofuture prospects in cancer screening, such as the application of molecular geneticsand new radiologic techniques. Another section addresses medicolegal issues.Also included are screening techniques used in countries with a high incidence ofcertain types of cancer (eg, stomach cancer in Japan, esophageal cancer in China).Numerous algorithms provide step-by-step overviews of screening, evaluation, andsurveillance.

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